NPI 1003669763

Olaitan Keji Bamgbala

Practitioner Case Manager/Care Coordinator Upper Marlboro, MD

Practice location

Address: 10081 Campus Way S, Upper Marlboro, MD 20774-2103
Phone: (443) 979-2438

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003669763
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2024
Record last updated: 10 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.